NPI age
12 years
Enumerated 2014-03-20
Across 56 active nurse practitioner providers in Idaho.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | NP1374A | IDAHO BOARD OF NURSING |
| 01 (ID) | CS34965 | IDAHO BOARD OF PHARMACY |
| 01 | 2013015609 | ANCC BOARD |
Part of a multi-provider practice. 14 other active providers share this practice address in NPPES.
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